SSHS Service Learning Proposal Form
This form has been updated for SY 2023-2024. 
Students and Teachers: Kindly utilize the this form for proposed service learning activities.
Sign in to Google to save your progress. Learn more
Email *
Sponsoring Teacher (If more than one, please list all participating teachers):  *
Student Name (if applicable, for individual or small group proposals):
Anticipated dates of activity: *
Time of event:  *
Agencies or Organizations that you will be working with: 
Main point of contact for the agency/organization: 
Location of event:  *
Type of Service: *
Transportation Needs:  *
Supervision will be provided by (list):  *
PREPARATION
Description of your key learning objectives and content standards being addressed by the SL activity.

What are the students going to be tasked to do? 

How will the students be utilized as a resource to service the community or address community issues? 

 *

Applicable PSSTs, GDOE Content Standards: 

 *

Key Learning Objectives (Connect to applicable PSSTs/Standards): 

 *

Applicable SSHS Student Learner Outcomes (check all that apply):

 *
Required
ACTION
TEACHERS MUST ENSURE THAT ALL STUDENTS ARE IN POSESSION OF A SERVICE LEARNING HOUR LOG FORM TO KEEP TRACK OF HOURS EARNED. Submit all SL hour logs to admin for entry into PowerSchool. 
Total number of hours possible:  *
Service Learning Hours Breakdown (Be specific): *
For example: Total 5 hours 
3 hours= Event attendance
1 hour= Reflection Journal 
1 hour= Celebration presentation 
REFLECTION

How will students reflect on their experiences (verbal, written, or visual activities)? 

 *
CELEBRATION

How will students celebrate the successful completion of this SL Activity? 

 *

How will this SL Activity be showcased upon completion? Check all that apply.  

 *
Required
Submit
Clear form
Never submit passwords through Google Forms.
GoogleForms
This form was created inside of Guam Department of Education.